Provider Demographics
NPI:1497013072
Name:MCGOLDRICK, BRYAN F (DVM)
Entity Type:Individual
Prefix:DR
First Name:BRYAN
Middle Name:F
Last Name:MCGOLDRICK
Suffix:
Gender:M
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35891 US HIGHWAY 19 N
Mailing Address - Street 2:
Mailing Address - City:PALM HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34684-1556
Mailing Address - Country:US
Mailing Address - Phone:727-781-7704
Mailing Address - Fax:727-781-7705
Practice Address - Street 1:35891 US HIGHWAY 19 N
Practice Address - Street 2:
Practice Address - City:PALM HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34684-1556
Practice Address - Country:US
Practice Address - Phone:727-781-7704
Practice Address - Fax:727-781-7705
Is Sole Proprietor?:No
Enumeration Date:2012-05-02
Last Update Date:2012-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL8256174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian